急性左半结肠癌梗阻一期切除吻合治疗39例  

Primary resection and anastomosis of left hemicolonic carcinoma with complicated acute intestinal obstruction

作　　者：魏云志[1] 

机构地区：[1]天津市蓟县人民医院,天津301900

出　　处：《天津医科大学学报》2003年第1期106-107,共2页Journal of Tianjin Medical University

摘　　要：目的 :探讨左半结肠癌致急性肠梗阻的手术处理方法。方法 :回顾分析1995～2001年间39例左半结肠癌致肠梗阻一期切除吻合术的外科临床效果。结果 :全组39例病人均采用梗阻近端肠管减压灌洗 ,并留置盲肠造瘘管术后接负压吸引 ,术后均一期愈合 ,未出现吻合口漏。随访12例中 ,1年存活率58% ,3年存活率16 % ,5年存活率8%。结论 :严格掌握手术适应症和基本操作 ,在病情允许时 。Objective:To explore the operative ways on left hemicolonic carcinoma with comˉplicated acute intestinal obstruction.Methods:Thirty-nine cases left hemicolonic carcinoma with complicated acute intestinal obstruction undergone primary resection with anastomosis from1995～2001were reviewed.Results:All39cases promixal canal performed decompression and lavage and cecal anastomostic drainage.Primary healing was obstained in all patients.No anastomosis fistula was found.Follow-ups were made in12cases,1case died within half-a-year,4cases within one year,3cases within three years,l case within five years.Conclusion:It is suggested that primary resection and anastomosis in treatment of left hemicolonic carcinoˉma with complicated acute intestinal obstruction is feasible.when the patient status is allowed,indication and operative methods are stricatly grasped.

关 键 词：左半结肠癌 肠梗阻 一期切除吻合 

分 类 号：R735.35[医药卫生—肿瘤]